Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $360.93 / $3,244.36	Facility		$79.45	$360.93	$3,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $174.87 / $267.98	Professional		$70.20	$174.87	$267.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $69.58 / $169.05	Professional		$57.44	$69.58	$169.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.16 / $104.37 / $253.57	Professional	50	$86.16	$104.37	$253.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $109.00 / $136.26	Facility		$76.97	$109.00	$136.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $112.90 / $334.77	Professional		$85.65	$112.90	$334.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.85 / $143.26 / $143.26	Facility		$95.85	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $199.79 / $376.17	Professional		$86.75	$199.79	$376.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.48	Professional		$32.34	$32.34	$256.48
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $260.42 / $366.28	Professional		$176.67	$260.42	$366.28